Individual
MAHNAZ KEYVANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325-4105
(818) 885-8500
Mailing address
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325-4105
(818) 885-8500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
941164
CA
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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